Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients.
Identifieur interne : 000778 ( PubMed/Corpus ); précédent : 000777; suivant : 000779Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients.
Auteurs : S H Alfaraj ; J A Al-Tawfiq ; P. Gautret ; M G Alenazi ; A Y Asiri ; Z A MemishSource :
- New microbes and new infections [ 2052-2975 ] ; 2018.
Abstract
The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non-MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.
DOI: 10.1016/j.nmni.2018.08.008
PubMed: 30224971
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients.</title><author><name sortKey="Alfaraj, S H" sort="Alfaraj, S H" uniqKey="Alfaraj S" first="S H" last="Alfaraj">S H Alfaraj</name><affiliation><nlm:affiliation>Corona Center, Infectious Diseases Division, Department of Pediatrics, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Tawfiq, J A" sort="Al Tawfiq, J A" uniqKey="Al Tawfiq J" first="J A" last="Al-Tawfiq">J A Al-Tawfiq</name><affiliation><nlm:affiliation>Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Gautret, P" sort="Gautret, P" uniqKey="Gautret P" first="P" last="Gautret">P. Gautret</name><affiliation><nlm:affiliation>Aix-Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE) UM63 CNRS 7278 IRD 198 INSERM U1095, Marseille, France.</nlm:affiliation></affiliation></author><author><name sortKey="Alenazi, M G" sort="Alenazi, M G" uniqKey="Alenazi M" first="M G" last="Alenazi">M G Alenazi</name><affiliation><nlm:affiliation>Pediatric Emergency Medicine, Emergency Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Asiri, A Y" sort="Asiri, A Y" uniqKey="Asiri A" first="A Y" last="Asiri">A Y Asiri</name><affiliation><nlm:affiliation>Critical Care Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Memish, Z A" sort="Memish, Z A" uniqKey="Memish Z" first="Z A" last="Memish">Z A Memish</name><affiliation><nlm:affiliation>College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:30224971</idno><idno type="pmid">30224971</idno><idno type="doi">10.1016/j.nmni.2018.08.008</idno><idno type="wicri:Area/PubMed/Corpus">000778</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000778</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients.</title><author><name sortKey="Alfaraj, S H" sort="Alfaraj, S H" uniqKey="Alfaraj S" first="S H" last="Alfaraj">S H Alfaraj</name><affiliation><nlm:affiliation>Corona Center, Infectious Diseases Division, Department of Pediatrics, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Al Tawfiq, J A" sort="Al Tawfiq, J A" uniqKey="Al Tawfiq J" first="J A" last="Al-Tawfiq">J A Al-Tawfiq</name><affiliation><nlm:affiliation>Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Gautret, P" sort="Gautret, P" uniqKey="Gautret P" first="P" last="Gautret">P. Gautret</name><affiliation><nlm:affiliation>Aix-Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE) UM63 CNRS 7278 IRD 198 INSERM U1095, Marseille, France.</nlm:affiliation></affiliation></author><author><name sortKey="Alenazi, M G" sort="Alenazi, M G" uniqKey="Alenazi M" first="M G" last="Alenazi">M G Alenazi</name><affiliation><nlm:affiliation>Pediatric Emergency Medicine, Emergency Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Asiri, A Y" sort="Asiri, A Y" uniqKey="Asiri A" first="A Y" last="Asiri">A Y Asiri</name><affiliation><nlm:affiliation>Critical Care Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Memish, Z A" sort="Memish, Z A" uniqKey="Memish Z" first="Z A" last="Memish">Z A Memish</name><affiliation><nlm:affiliation>College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author></analytic><series><title level="j">New microbes and new infections</title><idno type="ISSN">2052-2975</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non-MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">30224971</PMID><DateRevised><Year>2019</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2052-2975</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><PubDate><Year>2018</Year><Month>Nov</Month></PubDate></JournalIssue><Title>New microbes and new infections</Title><ISOAbbreviation>New Microbes New Infect</ISOAbbreviation></Journal><ArticleTitle>Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients.</ArticleTitle><Pagination><MedlinePgn>49-52</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.nmni.2018.08.008</ELocationID><Abstract><AbstractText>The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non-MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Alfaraj</LastName><ForeName>S H</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>Corona Center, Infectious Diseases Division, Department of Pediatrics, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of British Columbia, Vancouver, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Tawfiq</LastName><ForeName>J A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Indiana University School of Medicine, Indianapolis, IN, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Johns Hopkins University School of Medicine, Baltimore, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gautret</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Aix-Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE) UM63 CNRS 7278 IRD 198 INSERM U1095, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alenazi</LastName><ForeName>M G</ForeName><Initials>MG</Initials><AffiliationInfo><Affiliation>Pediatric Emergency Medicine, Emergency Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Asiri</LastName><ForeName>A Y</ForeName><Initials>AY</Initials><AffiliationInfo><Affiliation>Critical Care Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Memish</LastName><ForeName>Z A</ForeName><Initials>ZA</Initials><AffiliationInfo><Affiliation>College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Infectious Diseases Division, Department of Medicine, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>08</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>New Microbes New Infect</MedlineTA><NlmUniqueID>101624750</NlmUniqueID><ISSNLinking>2052-2975</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Middle East respiratory syndrome coronavirus (MERS-CoV)</Keyword><Keyword MajorTopicYN="N">Saudi Arabia</Keyword><Keyword MajorTopicYN="N">Scoring</Keyword><Keyword MajorTopicYN="N">Visual triage</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>07</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>08</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30224971</ArticleId><ArticleId IdType="doi">10.1016/j.nmni.2018.08.008</ArticleId><ArticleId IdType="pii">S2052-2975(18)30068-4</ArticleId><ArticleId IdType="pmc">PMC6138856</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Emerg Infect Dis. 2017 Apr;23(4):682-685</Citation><ArticleIdList><ArticleId IdType="pubmed">28322710</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Lab Hematol. 2017 Jun;39(3):272-278</Citation><ArticleIdList><ArticleId IdType="pubmed">28444873</ArticleId></ArticleIdList></Reference><Reference><Citation>Infect Drug Resist. 2014 Nov 03;7:281-7</Citation><ArticleIdList><ArticleId IdType="pubmed">25395865</ArticleId></ArticleIdList></Reference><Reference><Citation>Travel Med Infect Dis. 2016 Sep - 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